Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC009994 | PA |
N | 111N00000X | Chiropractor | F1-0000724 | DE |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | F1-0000724 | DE |
NPI | 1225277437 |
---|---|
Provider Name | Dr. Mimi Renee Skocik |
First Address | Dover, DE 19904-6903 |
Second Address | Dover, DE 19904-6903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 09/06/2015 |